02D2101938 CLIA NUMBER - WISDOM TRADITIONS COUNSELING SERVICES

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Laboratory Demographics

CLIA Number: 02D2101938

Facility Name: WISDOM TRADITIONS COUNSELING SERVICES

Facility Address:
401 W INTERNATIONAL AIRPORT ROAD, SUITE 17
ANCHORAGE, AK
ZIP 99518
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Facility Phone Number: (907) 562-4540

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1881879922

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	02D2101938
LAB Type	COMPREHENSIVE OUTPATIENT REHAB
Facility Name	WISDOM TRADITIONS COUNSELING SERVICES
Street	401 W INTERNATIONAL AIRPORT ROAD, SUITE 17
City	ANCHORAGE
State	AK
ZIP	99518
Phone	(907) 562-4540

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This page was last updated on: 5/11/2023